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These guidelines, put forth at the 2nd Diabetes Surgery Summit (DSS-II), also suggest metabolic surgery be considered in type 2 diabetic patients with a BMI of 3034.9 and inadequately controlled hyperglycemia (Rubino 2016)

10.1016/j.freeradbiomed.2014.10.009 Free Radic Biol Med

doi: 10.1104/pp.114.243790 292 ZhuX

If we determine that expenditure growth has differed significantly from projections made at the start of the agreement period due to unforeseen circumstances, such as an economic recession, pandemic, or other factors, a reduction in the weight placed on the ACPT may be considered